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ROLANDINE VAUGHAN PAC NPI 1225284367


NPI Information

NPI: 1225284367
Provider Name: ROLANDINE VAUGHAN, PAC
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1862 AUBURN RD STE 118-X1
DACULA, GA
ZIP 30019
Phone: (404) 906-6985
Get Directions

Rolandine Vaughan, PAC is a physician assistant in Dacula, GA with 16 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Rolandine Vaughan, PAC NPI is 1225284367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2008

The provider's business location address is:

1862 AUBURN RD STE 118-X1
DACULA, GA
ZIP 30019-676
Phone: (404) 906-6985
Fax: (678) 302-7377

The NPI 1225284367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 3/15/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist005982GEORGIANo
2363A00000XPhysician Assistant0110002860VIRGINIANo
3363A00000XPhysician Assistant005982GEORGIANo
4363A00000XPhysician AssistantNo
5363A00000XPhysician Assistant10004230AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100429217DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.